The Sleep Edit copertina

The Sleep Edit

The Sleep Edit

Di: Craig Canapari MD & Arielle Greenleaf
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Join Dr. Craig Canapari and Arielle Greenleaf as they explore the intricacies of children's sleep issues with clarity and a touch of levity. They'll unpack the science behind sleep and offer evidence-based strategies to improve nighttime routines. As the director of Yale's Pediatric Sleep Center and an accomplished author, Dr. Canapari brings a wealth of knowledge, while Arielle's expertise as a Pediatric Sleep Consultant provides practical insights for parents seeking tranquility at bedtime. Together, they're your guides to better sleep for your little ones—and for you.© 2026 Evidence Based Parenting LLC Genitorialità e famiglie Igiene e vita sana Relazioni
  • You're Not Doing It Wrong: Breastfeeding and Sleep, with Dr. Lauren Hughes
    Sep 7 2026
    Can you keep breastfeeding and still work toward better sleep? Craig and Arielle talk with pediatrician and lactation consultant Dr. Lauren Hughes about newborn feeding, bottles, milk supply, and the difference between sleep training and night weaning. They also get into the advice that leaves parents feeling trapped: stretch every feed, never offer a bottle, assume every night waking means hunger.Key TakeawaysSleep training and night weaning are two separate decisions. Lauren sleep trained her twins at eight months and did not night wean them until eighteen — a baby can learn to fall asleep without help and still get every overnight feed they need.Six hours counts as sleeping through the night. It may not be the six hours you wanted — 8 p.m. to 2 a.m. qualifies — and reframing the target is sometimes the entire intervention.Milk storage capacity runs from roughly two to twelve ounces per breast and has nothing to do with breast size, which is why dropping a night feed is a non-event for one parent and tanks supply for another. How long you can go before engorgement is roughly your own ceiling, since engorgement is what tells the body to make less."Normal" is far wider than parents are told: in the newborn weeks three hours is a maximum, not a minimum — babies can eat sooner, and three hours is when you wake them. Breastfed babies average about 24 ounces in 24 hours, range 19 to 32.It isn't nipple confusion, it's flow preference — babies take the path of least resistance, so a fast bottle beats the work of the breast, and paced feeding is the fix. Offering a bottle once a week from about a month old heads off the refusal that surfaces the week daycare starts.The research on feeding method and sleep genuinely conflicts, and neither host picks a side. Under six months exclusively breastfed babies wake more often, though most studies find no difference in total sleep; after six months most find breastfed infants sleeping less — and much of the older literature simply asked parents, whereas Rudzik's actigraphy study found no difference in measured sleep even as formula-feeding mothers reported more.LinksStudies, articles & postsInfant sleep reports versus actigraphy by feeding method — Rudzik, Robinson-Smith & Ball, 2018Milk feeding, complementary foods, and infant sleep: a systematic review — Fu et al., 2021Sleep-related infant deaths: updated recommendations — American Academy of Pediatrics, 2022How to keep your sleeping baby safe — AAP parent guideBedsharing and breastfeeding: Protocol #6, 2019 revision — Academy of Breastfeeding Medicine, published 2020; a different professional position from the AAPPeople & books mentionedDr. Lauren Hughes — pediatrician and International Board Certified Lactation ConsultantDr. Hughes' newsletterBloom Pediatrics and Lactation — practice founded by Dr. HughesGet in touch & next stepsCraig's free sleep training starter kitArielle's free 24-hour sleep guideFull medical disclaimerSubmit Listener Feedback and Questions Here (00:00) - Intro (00:23) - Meet Dr. Lauren Hughes (01:47) - Why a pediatrician became a lactation consultant (06:20) - When breastfeeding is harder than expected (06:58) - Crying, sleep training, and parents' goals (12:23) - What normal newborn feeding looks like (16:18) - The pressure to follow a strict feeding schedule (20:25) - Finding a rhythm with older infants (24:03) - How partners can support breastfeeding (25:58) - Taking shifts overnight (27:46) - Pacifiers, bottles, and flow preference (30:44) - Bottle refusal and going back to work (31:41) - Whether formula-fed babies really sleep longer (35:05) - What dropping a night feed does to supply (38:48) - Under six months versus over six months (40:18) - How many ounces a baby actually needs (44:22) - Can breastfeeding and sleep training coexist (46:37) - Six hours counts as sleeping through the night (48:23) - Room-sharing, bedsharing, and the AAP (50:43) - Why parents hide bedsharing from their pediatrician (55:14) - What the AAP actually recommends (56:31) - Rapid-fire feeding and sleep myths (57:59) - Lauren's sleep hack and confession (59:02) - You're not doing it wrong (59:43) - Where to find Dr. Lauren Hughes
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    1 ora e 1 min
  • Bonus Episode: Summer and Back To School Sleep Challenges
    Jun 29 2026

    Tips for Infants, Toddlers, and Teens

    In this episode of the Sleep Edit podcast, hosts Dr. Craig Canapari and Arielle Greenleaf provide evidence-based tips and strategies to help parents manage their children's sleep during the summer and back-to-school transitions. They discuss common issues such as later bedtimes, disrupted routines, increased screen time, and the impact of travel on sleep patterns.

    Chapters

    • 00:00 Introduction and Disclaimer
    • 01:09 Meet the Hosts
    • 01:24 Summer Sleep Challenges
    • 03:55 Pandemic Sleep Patterns
    • 05:08 Structured Days Hypothesis
    • 07:57 Managing Heat and Sleep
    • 09:58 Travel and Sleep Tips for Infants and Toddlers
    • 16:06 Vacation Sleep Realities
    • 19:47 School-Age Sleep Strategies
    • 20:50 Replicating Schedules for Special Needs Children
    • 21:47 Bedtime Recommendations for Different Age Groups
    • 23:07 Managing Screen Time During Summer
    • 24:01 The Benefits of Summer Camps and Jobs
    • 24:49 Camping as a Sleep Reset Tool
    • 26:41 Traveling to Adjust Sleep Schedules
    • 27:25 General Summer Sleep Tips for Parents
    • 32:23 Adjusting Teen Sleep Schedules Before School Starts
    • 37:38 Final Thoughts and Contact Information

    Links

    • The Structured Days hypothesis
    • Study of 9-15 year olds showed that later shift was associated with poorer dietary choices
    • Resources (slides and references) from Dr. Canapari's talk on Covid-19 and sleep
    • The Forbidden Zone and what it means for putting your kid down
    • Vacation "sleep": How to get shuteye when on the move
    • Dr. Canapari's article on summer sleep and back to school
    • Camping as a way to reset sleep schedules

    Get in touch & next steps

    • Craig's sleep training starter kit
    • Arielle's free 24-hour sleep guide
    • Full medical disclaimer
    • Submit Listener Feedback and Questions Here


    • (00:00) - Intro
    • (01:09) - Meet the hosts
    • (01:24) - Summer sleep challenges
    • (03:55) - Pandemic sleep patterns
    • (05:08) - Structured days hypothesis
    • (07:57) - Managing heat and sleep
    • (09:58) - Travel and sleep tips for infants and toddlers
    • (16:06) - Vacation sleep realities
    • (19:47) - School-age sleep strategies
    • (20:50) - Replicating schedules for special needs children
    • (21:47) - Bedtime recommendations for different age groups
    • (23:07) - Managing screen time during summer
    • (24:01) - The benefits of summer camps and jobs
    • (24:49) - Camping as a sleep reset tool
    • (26:41) - Traveling to adjust sleep schedules
    • (27:25) - General summer sleep tips for parents
    • (32:23) - Adjusting teen sleep schedules before school starts
    • (37:38) - Final thoughts and contact information
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    39 min
  • Debunking Bad Online Sleep Advice
    May 31 2026
    Your child's cortisol is not a problem you need to manage — and most of the scary sleep advice that says otherwise is built on a misreading of the science. Craig and Arielle take on the claims that spread fastest online and hold up worst: the "overtired baby floods with cortisol" story, rigid wake windows, the 3-6-9 rule and the Wonder Weeks, magnesium lotions, melatonin as a quick fix, and the "biologically correct" 7 p.m. bedtime. It's an episode about why simple, absolute rules go viral while real answers — nuanced, and dependent on your actual child — do not. They close on the hardest question a tired parent faces: in an unregulated field full of confident strangers, how do you tell a trustworthy sleep expert from a good marketer?Key TakeawaysThe "overtired child floods with cortisol and can't sleep" claim gets the science backwards. Poor sleep can nudge cortisol up, but cortisol is a marker of inadequate sleep, not its cause — and it is not something parents need to manage at home.The Middlemiss (2012) study used to argue that sleep training is harmful had no control group and studied infants in an unfamiliar inpatient setting, nothing like sleep training at home. Better-controlled work, including Gradisar's randomized trial, found infant cortisol did not rise after sleep training. A few hard nights are brief, harmless stress — not the chronic toxic stress that genuinely affects development.Wake windows describe something real — sleep drive builds the longer a child is awake — but the rigid, age-based formulas online are not research-based. Watch the child in front of you and their 24-hour sleep totals, not a chart. "Average" sleep needs span wide ranges and were never meant as individual targets.Magnesium lotions have no evidence they do anything; melatonin is a hormone, not a routine fix for healthy children, and should follow behavioral changes and a conversation with your pediatrician. Melatonin is now the most common substance U.S. children accidentally ingest — store it like medication.For most children before puberty, a bedtime roughly between 7:30 and 8:30 works well; an artificially early bedtime mostly manufactures bedtime battles. And the pediatrician is the first stop for sleep questions — "evidence-based" has become a marketing phrase, so ask any consultant how they actually make decisions.LinksStudies & researchMiddlemiss et al. (2012), Early Human Development — the cortisol/extinction study commonly cited against sleep training. https://doi.org/10.1016/j.earlhumdev.2011.08.010Gradisar et al. (2016), Pediatrics — randomized controlled trial; infant cortisol did not rise after graduated extinction or bedtime fading. https://doi.org/10.1542/peds.2015-1486Tuladhar et al. (2021), Journal of Sleep Research — infant diurnal cortisol and sleep. https://doi.org/10.1111/jsr.13357Earlier bedtimes and child sleep — systematic review of 45 studies, JAMA Pediatrics. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2795862Pediatric Melatonin Ingestions, United States, 2012–2021 — CDC MMWR. https://www.cdc.gov/mmwr/volumes/71/wr/mm7122a1.htmIglowstein I, Jenni OG, Molinari L, Largo RH. Sleep duration from infancy to adolescence: reference values and generational trends. Pediatrics. 2003 Feb;111(2):302-7. doi: 10.1542/peds.111.2.302. PMID: 12563055.Further reading on cortisol, sleep training, attachment, and online misinformation:Bilgin & Wolke (2020), Journal of Child Psychology and Psychiatry — "cry it out" and attachment/behavioral development at 18 months. https://doi.org/10.1111/jcpp.13223Davis & Kramer (2021), Journal of Child Psychology and Psychiatry — commentary on Bilgin & Wolke (2020). https://doi.org/10.1111/jcpp.13390Spangler & Grossmann (1993), Child Development — biobehavioral organization in securely and insecurely attached infants. https://doi.org/10.1111/j.1467-8624.1993.tb02962.xRamos et al. (2025), Scientific Reports — mother-infant cortisol levels and maternal childhood adversity. https://doi.org/10.1038/s41598-025-28548-8Immeli, Douglas & Kolho (2026), Acta Paediatrica — misinformation and the medicalisation of infant health care in the social media era. https://doi.org/10.1111/apa.70468"Guided by Routine and Nurturance: How Parent Characteristics Shape Online Infant Health Information Seeking" — PubMed. https://pubmed.ncbi.nlm.nih.gov/41622498/Craig's articlesShould My Child Take Melatonin? A Guide for Parents — https://drcraigcanapari.com/should-my-child-take-melatonin-a-guide-for-parents/Melatonin Overdoses Are on the Rise: Why Parents Should Worry — https://drcraigcanapari.com/melatonin-overdoses-are-on-the-rise-why-parents-should-worry/Should You Give Your Child L-Theanine for Sleep? — https://drcraigcanapari.com/should-you-give-your-child-l-theanine-for-sleep/Resources & past episodes mentionedThe Sleep Edit, Episode 12: Melatonin and Magnesium, Oh My — https://sleepedit.show/episodes/episode-12-...
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    53 min
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